Any other TRICARE patients?

[lynneb12 0]

I am considering having lapband surgery, but I have Tricare and was wondering if anyone has had the procedure through Tricare. Any information on how you got your surgery approved is extremely helpful!

Thanks!!

[L12 13]

I found the process very easy. The required steps vary a bit depending upon which type of Tricare you have--I have Tricare Reserve Select.

[RestlessMonkey 7]

I'm Tricare Standard and from the time it was submitted (my civilian surgeon's office handled it all) until the time I was approved was under 48 hours.

[Hel 0]

I'm Tricare Prime and was approved very quickly as well.

[AlaskaGirl77 0]

Tricare Prime here and was quick and painless as well! Best of luck!! It has been the best thing to ever happen for me!!

[Kwa123 0]

Hey I have tricare Prime. When going through this process Tricare Prime was not diffuclut at all . Tricare Prime does not require as much as other insurances. :0) My paper work was submitted to tricare on 8/7 and I was approved on 8/11. YIPEE!!! I will be banded on 9/18/09. So Good luck to all of you .....

[jaciqltz 0]

Tricare Prime here as well..so far approval was fast and easy, BUT what all are they NOT paying for?

I am out $120 for the dietician, and another $120 for the Upper GI...I was lucky and my cardiologist appt. was a yearly so the EKG came with that, and I am due for my quarterly labs, so that is covered, and the base did the chest x-ray today...but hopeing there are no other HIDDEN costs Tricare is not paying for!

After all, I am going all the money I can muster up for the new WARDROBE...ehehehhe

[RestlessMonkey 7]

Tricare Prime here as well..so far approval was fast and easy, BUT what all are they NOT paying for?

I am out $120 for the dietician, and another $120 for the

I'm tricare standard and it covered EVERYTHING subject to my deductible and copay.

I've read some tricare prime patients who don't pay a penny. ?

[soldiersgem 1]

I'm tricare prime and my approval process was super easy. I am using a civilian surgeon and their office works really well with tricare telling me how to get tricare to pay for certain things..mainly it was alot of going back to my Pcm for a referral.......

[tkee99516 1]

I have Tricare Prime & was initially denied. Went through the appeal process & won. Just got banded on 8-25-09 (Tuesday) & came home today (Wednesday). I have a copay of $12 for the surgeon's office consult. Paid $0 for the off base sleep study. Paid $12 for the off base Psych visit. Nut visit was at the military hospital, so that was free. We will see what the hospital bill will be. I don't expect much....

[RubyTuesday 0]

Hey TeeKee, this is kind of off topic, but what did they deny you for? Did you have co morbs, etc??

[Hel 0]

I'm tricare standard and it covered EVERYTHING subject to my deductible and copay.

I've read some tricare prime patients who don't pay a penny. ?

WithTricare Prime I didn't have to pay for anything; my (civilian) surgeon's office has their own dietician and the psych eval was covered 100%. All I needed were the referrals.

[harliquinn 1]

I'm tricare standard and it covered EVERYTHING subject to my deductible and copay.

I've read some tricare prime patients who don't pay a penny. ?

im Tricare Prime, ive had everything done on base and it hasnt cost me a penny.

[blackcherry2002 5]

I was a Tricare Standard and they covered everything as well. and I think my doctor set it up so that adjustments are included in the price so I've had 4 or 5 fills and haven't had to pay for any of them...

[tkee99516 1]

Hey TeeKee, this is kind of off topic, but what did they deny you for? Did you have co morbs, etc??

I was initially denied due to no co-morb. But I met the 200% per Met Life Table for height (5' 3") and weight (226lbs) for a SMALL frame person. Unfortunately, the surgeon sent in the paperwork stating I was a MEDIUM frame (you know, the same standard authorization for everyone). So Triwest denied it. So I wrote an appeal letter & had my Primary Care MD sign it stating I was a small frame (yes, the nurse measured my elbow per the Met Life Table). And Triwest took ALL 60 days of waiting & approved it on the 60th day (go figure). So I had it done on 8-25-09.

Tammy